Organization Active NPI

The Knee Pain Center, PLLC

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
National Provider Identifier
1477288793
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
THE KNEE PAIN CENTER, PLLC
Practice address
8611 Hillcrest Ave Ste 200B
Dallas, TX 75225-4203
Phone
(469) 399-5672
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Rush, MD
Title
Chairman (Ceo)
Phone
(301) 928-1697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

8611 Hillcrest Ave Ste 200B
Dallas, TX 75225-4203

Mailing address

8611 Hillcrest Ave Ste 200B
Dallas, TX 75225-4203
Phone (469) 399-5672

National Provider Directory

National Provider Directory

Locations

8611 Hillcrest Ave
Ste 200B
Dallas, TX 75225
Phone (214) 812-9770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1477288793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE STE 200B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254203",
            "telephone_number": "469-399-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE STE 200B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254203",
            "telephone_number": "469-399-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KNEE PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHAIRMAN (CEO)",
        "authorized_official_telephone_number": "301-928-1697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.